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Episode 28: LOST

PHEM Cast

It might be better to consider traumatic cardiac arrest as a completely different disease eg LOST: Low Output State due to Trauma The 2015 European Resuscitation Council and UK Resuscitation Council Algorithms for Traumatic Cardiac Arrest: To read the whole ERC guideline on special circumstances cardiac arrest including trauma, click here.

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Riding the Waves: End-Tidal CO2 Monitoring

Taming the SRU

Cardiac Arrest As mentioned before, tidal CO2 is a function of metabolic rate and cardiac output, so capnography can be utilized during CPR to monitor the effectiveness of chest compressions. 2011): 544-549. 2011): 189-196. Continuous monitoring allows for rapid recognition of tube displacement. 2017): 829-842. Whitaker, D.

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SGEM#314: OHCA – Should you Take ‘em on the Run Baby if you Don’t get ROSC?

The Skeptics' Guide to EM

Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest. Association of Intra-arrest Transport vs Continued On-Scene Resuscitation With Survival to Hospital Discharge Among Patients With Out-of-Hospital Cardiac Arrest.

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SGEM#189: Bring Me To Life in OHCA

The Skeptics' Guide to EM

Case: You are the medical director of an EMS system in a large city deciding on whether to respond to all out of hospital cardiac arrests (OHCA) with ACLS capabilities, or if resources should be directed to those candidates for extracorporeal CPR. Bystander high-quality CPR can buy you some time until defibrillation.

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SGEM#238: The Epi Don’t Work for OHCA

The Skeptics' Guide to EM

You are the first provider on scene with Emergency Medical Services (EMS) and start high-quality Cardiopulmonary Resuscitation (CPR). published in Resuscitation 2011. Case: A 51-year-old man experiences a cardiac arrest on the street. A cardiac defibrillator is hooked up and the patient is in ventricular fibrillation.

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Episode 20: End Tidal Carbon Dioxide

PHEM Cast

Qvigstad et al showed in again in Resuscitation in 2013, confirming inter-individual variation in effectiveness of CPR using ETCO2 as a surrogate for CO Trauma Deakin et al. trauma 2004) showed that end-tidal CO2 may be of value in predicting outcome from major trauma (19). O Capnogram showing rebreathing during inspiration.

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Referring to the Intensive Care Unit

Mind The Bleep

Whilst some patients may not be for CPR or intubation and ventilation, they may be appropriate for other treatment options offered in ITU, such as inotropes. Because she would not be for intubation, they discuss resuscitation status because, naturally, care during- and post-arrest would involve airway support. 2011 Dec;11(6):601-4.